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Smokeless tobacco is sometimes used in the workplace by employees, especially if the employer does not provide many cigarette breaks or if the employee is consistently using both hands during work (which doesn't provide opportunities for cigarette smoking)

The first step is acknowledging the habit and setting a quit date

Over the last several performance years, we have observed that some activities have not remained aligned with the latest updates to clinical practice standards, have not incorporated the latest national priorities, and/or have activity requirements that are no longer substantive enough to promote a sufficient level of clinical practice improvement in today's health care environment

Validation steps are taken to ensure the accuracy and reliability of the findings, minimizing biases and errors

Worksite tobacco use not only means they have to face temptation all day, but they may also have less co-worker support if they choose to quit